Michael A Wong, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO2743 Issued in NV

Practice address

1766 E Charleston Blvd
Las Vegas, NV 89104-1945

Phone

(702) 843-2440

Fax

(833) 749-0349

NPI assigned

Mar 21, 2017

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Alabama College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albion Medical Group of Nevada, PCGroup PAC ID 4183891294, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albion Medical Group of Nevada, PC

  dba CareMore Medical Group of Nevada (Worku), PC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1578840724
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care NV P C

  dba CenterWell Senior Primary Care-Spring Valley

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1285257667
  Medicare reassignment
• Centerwell Senior Primary Care (NV) PC

  dba CenterWell Senior Primary Care-Green Valley

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1053029488
  NPD
• Centerwell Senior Primary Care (NV) PC

  dba CenterWell Senior Primary Care- South eastern

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1669095048
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1649701814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616788",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328616788",
            "telephone_number": "407-447-7120",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041945",
            "telephone_number": "702-843-2440",
            "fax_number": "833-749-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO2743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.wong@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "michael.wong@centerwell.eclinicaldirectplus.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1766 E Charleston Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891041945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lourdes Wong, MS, NCC, CPC-I
• Maegan Kayla Wong
• Mankei Rebecca Wong, DMD
• Marsha Wong
• Mei Yan Iris Wong
• Michelle W Wong, O.D.
• Miena Siu Wai Wong
• Milton K. Wong, M.D.
• Nancy Wong
• Ricky Wong

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.